(1) Thermostable group II intron reverse transcriptase (TGIRT) enzymes enable efficient single-stranded DNA sequencing (ssDNA-seq) of cell-free DNA (cfDNA) fragments in human plasma and other bodily fluids. (2) ssDNA-seq using TGIRT can identify epigenetic features in cfDNA fragments that provide information about the tissue of origin, with potential diagnostic applications. (3) TGIRT-based ssDNA-seq allows effective library construction from small amounts of degraded cfDNA samples.